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HomeMy WebLinkAbout1986-6156 (Re-roof) CITY of ORONO _ _ Buildin Permit PERMIT NO. 6156 � , g AND APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ISSUED I P.O. BOX 66, CRYSTAL BAY, MN 55323 473-7357 � i ZONING DISTRICT /� ���� � SITE ADDRESS PROPERTY IDENTIFICATION NO.(PID) � � —�- � FIRE DEPARTMENT LOT BLOCK SUBDIVISION POST OFFICE OWNER (Name) (Address) (Phone) � �l � 7�'-/ � I VAR. DATE ARCHITECT/ENGINEER- Must Certify Multi-Family,Commercial& Industrial Construction Plans i (Firm) (Address) (Phone) COND. USE DATE LOT AREA BUILDER (Firm) (Address) (Phone) WIDTH DEPTH ��"� I NPE WORK New ddition Remodel Renovate PROPOSED SETBACKS: /y � � I ' FRONT R.SIDE 1���'��'�' — � l�K.�/!Z CONS TYPE BUILDING SIZE Estimated Construction Valuation i REAR L. IDE L. W. Ht. � �� LAKE WETLAN S OCCUPANCY PERMIT FEES CLASSI FICATION ACCESS DWELL. STORIES g � 2 3 BLDG. PERMIT �S/C���I UNITS STATE FEE '��d NEW E ING GAR.STALLS NUMBER OF BEDROOMS � AGENCY-AP ROV. TE q�, PLAN REVIEW CITY DET. SEPTIC APP. DATE SAC CHARGE COUNTY PROPOSED USE SEWER UNIT I STATE PARK FEE PENALTY PRIVATE EASEMENT COUNCIL APP. DATE OTHER � TOTAL DUE �� `� � REMARKS: �•3 INSPECTION RECIUIRED WORK REQUIRING ACKNOWLEDGEMENT I SEPARATE PERMITS THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE ❑ .. .... FOOTING before pour ❑ . ..... FRAMING rough-in PLUMBING ......................... ❑ THE REAL IMPROVEMENTS SPECIFIED. AND DECLA,RES ❑ ...... INSULATION MECHANICAL....................... ❑ UNDER PENALTY OF LAW ACKNOWLEDGEMENT AND ACCEPT- ❑ . WALLBOARD before taping ANCE OF ALL INFORMATION, CONDITIONS AND REQUIRE- WELL............................... ❑ �.. . . FINAL before occupancy ❑ .... ..SITE INSPECTION SEPTIC.............................. � MENTS REPRESENTED ON THIS DOCUMENT. THE UNf�ER- WORK BEYOND OR WITHOUT A RE- SIGNED FURTHER AGREES TO DO ALL WORK IN STRICT GOM- SEWER.............................. GIUIRED INSPECTION WILL BE SUB- yyATER.............................. � PLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE JECT TO PENALTY. OF MINNESOTA BUILDING CODE REQUIREMENTS. GRADING&FILLING ............... ❑ INSPECTIONS MUST BE CALLED-IN 24 HOURS IN ADVANCE. FIRE................................. ❑ 9 /' ����—�f� Si nature ���'��'i�'1 � ate J COPY:WHITE-FILE GREEN-FINANCE � CANARY-INSPECTOR GOLD-RECEIPT PINK-ASSESSOR Approve City of C�rono BrooklYn Prtg.&Adv.Co.Inc. (812)581�470 �f/� , ���� �// � DATE TIME `/ CITY OF ORONO CALLED IN '�' la v �U INSPECTION NOTICE SCHEDULED ' ' �30��- PERMIT NO. — COMPLETED I�'��—'—�,� ��`-� ADDRESS � Ss �C�1� OWNER CONTR. o ` @ TELEPHONE NO. �I-/�70I ❑ FOOTING O PLUMBING RI ❑ SITE INSPECTION O FRAMING ❑ PLUMBING FINAL ❑ EXCAV./GRADING/FILLING � ❑ INSULATION O MECHANICAL � LAKESHORE/WETLANDS � O WALL BD. ❑ WATER HOOKUP O LICENSING � �FINAL ❑ METER SETlfURN ON ❑ COMPLAINT Q ❑ PROGRESS O SEWER HOOKUP O FOLLOW-UP � ❑ OEMOL O SEPTIC INSTALL O SEPTIC FINAL Q ❑ FIRE PREV. 0 SEPTIC MAINT. ❑ FIREPLACE/WOOD BURNER � 0 WELL TEST PUMP ❑ = COMMEIdTS: � � w 2 z ca(�s ,M� 0 � W �l/V/�� //�/�.� a j � o a � !� o W � Q � Z W � W � � O W � W ❑ WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN p O CORRECT WORK&PROCEED U ❑ CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING � CORRECT UNSAFE CONDITION WITHIN HOURS.INSPECTOR WILL RETURN. O STOP ORDER POSTED.CALL INSPECTOR. ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr. on site Inspector �73'73rj7 White/Inspector's File Canary/Site IVotice